2007 issue 2

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Volume 16, issue 2

Original article

Territorial differentiation of hospital admissions of patients with schizophrenia in Poland in the years 1999 and 2003

Elżbieta Słupczyńska-Kossobudzka1, Ludmiła Boguszewska1, Walentyna Szirkowiec2
1. Zakład Organizacji Ochrony Zdrowia Instytutu Psychiatrii i Neurologii w Warszawie
2. Zakład Genetyki Instytutu Psychiatrii i Neurologii w Warszawie
Postępy Psychiatrii i Neurologii 2007; 16 (2): 123-132
Keywords: hospital-registered prevalence, schizophrenia, territorial differentiation

Abstract

Objective. The main aim is to investigate stability of territorial differentiation of hospitalization and attempt at explaining the causes of this phenomenon.

Method. The hospital-registered prevalence (HRP) indicators in various provinces of Poland in the years 1999 and 2003 were analyzed (the number of patients treated, patient days, and long-term inpatients). A number of independent variables potentially affecting HRP were taken into account: the economic situation indicators, accessibility of inpatient care and of nursing homes, as well as post-treatment care accessibility. The Spearman rank correlation coefficient was used in the statistical analysis.

Results and conclusions. A considerable territorial differentiation of HRP was found - the highest prevalence of hospitalization was twice as high as the lowest one, while the prevalence of long-term hospitalization was between ten and twenty times higher than the lowest values. In the five-year period under study a relatively high HRP was noted in four provinces (Lubuskie, Opolskie, Pomeranian and Western Pomeranian), while comparatively low - in other five regions (Kujawsko-pomorskie, Łódzkie, Mazovian, Małopolskie and Podkarpackie). Territorial differentiation of HRP is associated with the economic situation, accessibility of psychiatric beds and nursing homes, accessibility of psychiatric outpatient clinics and of community self-help facilities. No relationship was found between HRP and accessibility of either day treatment units or mobile community teams - most probably because accessibility of the latter two forms of care is a few times lower than the desired minimum.

Address for correspondence:
Dr Elżbieta Słupczyńska-Kossobudzka
Zakład Organizacji Ochrony Zdrowia Instytutu Psychiatrii i Neurologii
ul. Sobieskiego 9, 02-957 Warszawa